ArticleBMC medical education2025
Integrating web-based and objective structured clinical examination training programs for nurses on ultrasound hip screening during neonatal and infant home visits: a case study.
Article in BMC medical education, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Sociodemographic Determinants of Timely Hip Dysplasia Ultrasound Screening.Journal of the Pediatric Orthopaedic Society of North America · 2026Article
- Association of objective structured clinical examination performance on nurse-led hip ultrasound imaging success: A prospective cohort study.International journal of nursing studies advances · 2026Article
- Effects of ChatGPT-generated immediate feedback integrated into VR-based OSCEs on nursing students' performance: a randomized crossover study.BMC nursing · 2026Article
- Nurses' Challenges in Performing Ultrasound Hip-Screening Techniques for Home Visits to Newborns and Infants: A Descriptive Case Study.Journal of nursing management · 2026Article
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Authors and funding
11 authors.
Funding
Abstract
backgroundUltrasound hip screening is crucial for the early detection of developmental dysplasia (DDH), but little is known about standardized training approaches for nurses. This study aimed to evaluate an educational program combining web-based learning and objective structured clinical examination (OSCE) training to improve nurses' knowledge and skills in ultrasound hip screening and DDH prevention during universal neonatal and infant home visits.
methodsThe program targeted two objectives: (1) to enable nurses to understand the Graf method and acquire standard plane ultrasound images, and (2) to equip them to provide preventive health education on DDH. The intervention included five web-based modules and a two-day OSCE-based hands-on program, supervised by orthopedic pediatric surgeons. Outcomes included (1) knowledge test scores obtained from the web-based modules (range: 0-50 points), (2) OSCE scores (36 items, range: 0-360; global rating ≧3 on a 1-6), including delivery of preventive health education, (3) ability to capture a standard plane image using a phantom within three minutes, and (4) ability to capture a standard plane image with infant volunteers, assessed by medical supervisors.
resultsNineteen participants (18 public health nurses and one midwife) from three municipalities completed the program. The mean knowledge test score was 47.2 (SD: 2.2), and the mean OSCE score was 329.3 (SD: 21.7), with a global rating of 4.4 (SD: 0.7). All participants conducted the preventive health education component. Eighteen participants (right hip) and 17 (left hip) successfully captured standard plane images using a phantom within three minutes. In scans of 39 infant volunteers, 34 scans (87.2%) successfully captured the standard plane; participants self-reported 31 as successful, though two were objectively classified as failures.
conclusionsThe educational program improved nurses' ultrasound hip-screening skills and their capacity to deliver preventive health education during universal home visits. These findings support the potential feasibility of expanding nurse-led ultrasound screening and DDH prevention efforts in community settings.
trial registrationThis study was registered with the University Hospital Medical Information Network Clinical Trial Registry before starting the study (No. UMIN000051929, August 16, 2023).
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